Assessment and Management of Pain in Juvenile Idiopathic Arthritis

Weiss, Jennifer E.; Luca, Nadia; Boneparth, Alexis; Stinson, Jennifer

doi:10.1007/s40272-014-0094-0

Cited by 42 publications

(38 citation statements)

References 111 publications

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“…Smoking and other tobacco‐related habits were registered during an interview without the parents present. Current pain, and pain and fatigue during the previous week were assessed by numerical rating scale 0–10 . The erythrocyte sedimentation rate (ESR), C‐reactive protein (CRP) levels and hemoglobin were analyzed.…”

Section: Methodsmentioning

confidence: 99%

Physical Fitness in Patients With Oligoarticular and Polyarticular Juvenile Idiopathic Arthritis Diagnosed in the Era of Biologics: A Controlled Cross‐Sectional Study

Risum

Edvardsen

Godang

et al. 2019

Arthritis Care & Research

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Objective. To perform a comprehensive evaluation of and identify correlates for physical fitness in consecutive patients with juvenile idiopathic arthritis (JIA) who have been diagnosed in the era of biologics and to compare the results with those obtained in healthy controls.Methods. The study cohort included 60 patients with JIA (50 girls) ages 10-16 years and 60 age-and sexmatched controls. The JIA group included 30 patients with persistent oligoarticular JIA and 30 patients with extended oligoarticular or polyarticular disease. Measures of physical fitness included cardiorespiratory fitness (CRF) by peak oxygen uptake (Vo 2peak ) during a continuous graded treadmill exercise test, muscle strength by isokinetic and isometric knee and hand grip evaluations, and bone mineral density (BMD) and body composition by dual-energy x-ray absorptiometry. Physical activity was assessed by accelerometry.Results. Forty-two percent of the patients were being treated with biologic drugs. Patients with JIA demonstrated lower muscle strength and total body BMD compared to controls, but there were no differences in CRF and body composition. Physical fitness was comparable between the persistent oligoarticular and extended oligoarticular/ polyarticular-JIA groups. In patients with JIA, we identified associations between higher vigorous physical activity and higher CRF and muscle strength, but did not find any association between physical fitness and disease variables.Conclusion. In this cohort of patients with JIA, we found suboptimal muscle strength and BMD compared to controls, but no differences in CRF and body composition. Vigorous physical activities appeared important for optimizing muscle strength and CRF in patients with JIA; the importance of such activities should be highlighted in patient education.

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Section: Methodsmentioning

confidence: 99%

Physical Fitness in Patients With Oligoarticular and Polyarticular Juvenile Idiopathic Arthritis Diagnosed in the Era of Biologics: A Controlled Cross‐Sectional Study

Risum

Edvardsen

Godang

et al. 2019

Arthritis Care & Research

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“…Pain is a frequent symptom among children and adolescents with JIA . Pain perception is highly subjective, and different self‐reported measures are used to detect pain frequency and intensity . Pain assessment in young children is especially challenging, because pain reports are dependent on the parents’ assumption of their child's pain .…”

Section: Introductionmentioning

confidence: 99%

“…Pain assessment in young children is especially challenging, because pain reports are dependent on the parents’ assumption of their child's pain . Both unidimensional and multidimensional tools are available for parent and child/adolescent assessment of pain in JIA . Among the unidimensional tools, the visual analog scale (VAS) is a commonly used and validated scoring instrument .…”

Section: Introductionmentioning

confidence: 99%

“…Among the unidimensional tools, the visual analog scale (VAS) is a commonly used and validated scoring instrument . The pathogenesis of pain in children and adolescents with JIA is multifactorial, including both biologic and psychosocial factors . Pain is a distressing symptom, and several studies have elucidated the relationship between pain, functional disability, and health‐related quality of life , but information about pain as a predictor of long‐term disease outcome is lacking.…”

Section: Introductionmentioning

confidence: 99%

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Early Self‐Reported Pain in Juvenile Idiopathic Arthritis as Related to Long‐Term Outcomes: Results From the Nordic Juvenile Idiopathic Arthritis Cohort Study

Arnstad

Rypdal

Peltoniemi

et al. 2019

Arthritis Care & Research

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“…Chronic pain is associated with anxiety and depression, fatigue, sleep disturbance, functional disability, and reduced quality of life [1–3]. Chronic pain also complicates other conditions: adolescents with anxiety disorders and depression are more likely to subsequently develop chronic pain and chronic pain is also a major cause of morbidity among adolescents with juvenile arthritis, sickle cell disease and those undergoing surgery [4–6]. Epidemiological studies estimate that up to a third of adolescents are affected by chronic pain [7].…”

mentioning

confidence: 99%